Your OEP checklist
- Note any life changes (job, marriage, baby, move)
- List your health care needs (meds, visits, ongoing conditions)
- Compare plan options (premium vs. costs when you get care)
- Check for monthly savings (premium tax credits + cost‑sharing reductions)
- Review extra benefits & perks (programs, discounts, more)
- Add key dates to your calendar so you don’t miss the window
1. Consider career or relationship changes
Big life moments can change what plan fits best – or whether you qualify for additional savings.
Examples include getting married, having a baby or changes in job-based coverage.
Not in Open Enrollment? You may still qualify.
A Special Enrollment Period (SEP) may allow you to enroll or change coverage outside OEP if you have a qualifying life event.
Learn more about Special Enrollment Period (SEP) and common qualifying life events.
2. Review your family's health care needs
The right plan depends on how you expect to use care this year – ongoing needs, “just in case” coverage or something in between.
Quick prompts to help you decide:
- Which doctors, clinics or specialists do you want to keep seeing?
- What prescriptions do you take regularly?
- Do you expect planned care (pregnancy, surgery, ongoing treatment)?
- Are you managing a long‑term condition that may need regular care?
If you anticipate ongoing care, look closely at coverage for chronic or long‑term conditions when comparing plans.
3. Look at different health plan options (Bronze, Silver, Gold)
Each plan balances the monthly premium and what you pay when you get care.
A simple way to think about metal levels
- Gold: Higher monthly premium, lower costs when you receive care. It may fit if you expect to use a lot of care.
- Bronze: Lower monthly premium, higher costs when you receive care. It may fit if you expect minimal care.
- Silver: Middle ground on premium and costs. It may unlock extra savings for eligible shoppers.
Tip: The lowest premium isn’t always the best value. Review deductibles, copays/coinsurance and any added benefits, too.
Explore: Marketplace metal levels and health insurance terms you should know.
4. Check your eligibility for monthly savings
Many people qualify for financial help that can lower the cost of coverage.
There are two common ways savings can work: lowering your monthly premium and/or lowering costs when you get care.